360 E MALLARD DR STE 110
BOISE, ID 83706-3945 US Accepts Medicare Payment
PECOS Enrolled
Overview
Kacey Dustin Blaylock is a Optometrist in the BOISE area and has over 9 years of experience. Kacey Dustin Blaylock primary office location is at 360 E MALLARD DR STE 110 and new patients are welcome to contact this healthcare provider for an appointment. He attended Pacific University - College Of Optometry and graduated 2016 The NPI number is 1164871489 and the information was updated approximately 4 years ago.
Kacey Dustin Blaylock is affiliated with one medical group in the BOISE area, HOLLINGSHEAD EYE CENTER, PC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Yes
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| ODP-100370 | ID |
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